Table 3.
Adapted MEWS* >4 | qSOFA ≥2 | UVA >4 | |
Unadjusted | |||
Sensitivity | 50.4 | 24.8 | 28.2 |
Specificity | 74.9 | 90.4 | 91.1 |
Positive predictive value | 30.7 | 36.2 | 41.2 |
Negative predictive value | 87.2 | 84.5 | 85.2 |
OR (95% CI) | 3.04 (2.01 to 4.59) | 3.10 (1.86 to 5.15) | 4.04 (2.44 to 6.67) |
*The adaptation to the MEWS score pertains to the altered mental status score. In the original MEWS, 0 point was assigned for alert patients, 1 if they reacted to voice, 2 if they reacted to pain, and three if they were unresponsive. In our adapted MEWS, we assign 0 point for an alert patient and 2 for a patient with any altered mental status.
MEWS, modified early warning score; qSOFA, quick Sequential (Sepsis-Related) Organ Failure Assessment; UVA, Universal Vital Assessment.